The Difficulty in Managing Young Patients with Shoulder OA

    In interviews exclusive to ICJR, 3 shoulder experts – Dr. John Sperling, Dr. Brian Cole, and Dr. Jeffrey Abrams – address this complex issue.

    No question, managing shoulder osteoarthritis (OA) in the young patient is a challenge. And according to John W. Sperling, MD, MBA, there’s no ideal solution.

    Research from Dr. Sperling’s practice at Mayo Clinic, Rochester, Minnesota showed higher survivorship at 10, 15, and 20 years for shoulder arthroplasty versus hemi-arthroplasty in younger patients with shoulder OA. He rarely does a hemi-arthroplasty for these patients because the pain relief is not as great as with shoulder arthroplasty.

    Dr. Sperling said it is important for the surgeon to understand the occupational and recreational demands on a patient’s shoulder and to have a frank discussion of expectations and goals – for example, the desire to remain active versus the desire for pain relief.

    With this information, the surgeon can tailor the procedure to the individual patient.

    At the International Congress for Joint Reconstruction’s recent 3rd Annual Las Vegas Shoulder Course, we spoke with 3 experts on managing these younger patients with OA: Dr. Sperling; Brian J. Cole, MD, MBA, from Rush University Medical Center, Chicago, Illinois; and Jeffrey S. Abrams, MD, from Princeton Orthopaedic Associates, Princeton, New Jersey.

    Click on the images below to hear what they had to say.

    Treatment challenges

    Age for shoulder arthroplasty

    Advances needed

    Producer: Susan Doan-Johnson; Director and Post Production: Charles Maynard